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Individual

ANNETTE ERIC D'SOUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
9 HOSPITAL DR STE B1, TOMS RIVER, NJ 08755-6425
(732) 363-7200
(866) 662-4129
Mailing address
9 HOSPITAL DR STE B1, TOMS RIVER, NJ 08755-6425
(732) 363-7200
(866) 662-4129

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00683300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0546691
NJ
05
2797003
NJ
Enumeration date
12/06/2016
Last updated
10/12/2023
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